Objective: We aimed to investigate the differences in emotional and behavioral problems and to explore the association between the level of psychiatric problems and the metabolic control in Type 1 diabetes. Methods: The children with Type 1 diabetes (no.=42) and the “healthy” control group (no.=42), their parents and endocrinology specialist completed the forms prepared for the study. The parents completed the Child Behavioral Checklist (CBCL/4-18). Results: The groups had significant differences in CBCL-activities (p<0.001), social competence (p<0.001), total competences (p<0.001), withdrawal (p=0.036), anxiety/depression (p=0.033), social problems (p=0.009), and aggressive behavior (p=0.04) scores. We did not find significant differences in CBCL scores between the groups with good, moderate and bad metabolic control (p>0.05). Discussion: The parents of children with Type 1 diabetes reported emotional and behavioral problems significantly more. We did not find any significant association between the level of metabolic control and the emotional and behavioral problems.
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Dantzer C, Swendsen J, Maurice-Tison S, Salamon R. Anxiety and depression in juvenile diabetes: a critical review. Clin Psychol Rev 2003, 23: 787–800.
Blanz BJ, Rensch-Riemann BS, Fritz-Sigmund DI, Schmidt MH. IDDM is a risk factor for adolescent psychiatric disorders. Diabetes Care 1993, 16: 1579–87.
Helgeson VS, Snyder PR, Escobar O, Siminerio L, Becker D. Comparison of adolescents with and without diabetes on indices of psychosocial functioning for three years. J Pediatr Psychol 2007, 32: 794–806.
Grey M, Cameron ME, Lipman TH, Thurber FW. Psychosocial status of children with diabetes in the first 2 years after diagnosis. Diabetes Care 1995, 18: 1330–6.
Kovacs M, Ho V, Pollock MH. Criterion and predictive validity of the diagnosis of adjustment disorder: A prospective study of youths with new-onset insulin-dependent diabetes mellitus. Am J Psychiatry 1995, 152: 523–8.
Kovacs M, Goldston D, Obrosky DS, Drash A. Major depressive disorder in youths with IDDM. Diabetes Care 1997, 20: 45–50.
Vila G, Robert JJ, Jos J, Mouren-Simeoni MC. Insulin-dependent diabetes mellitus in children and in adolescents: value of pedopsychiatric follow-up. Arch Pediatr 1997, 4: 615–22.
Northam E, Anderson P, Adler R, Werther G, Warne G. Psychosocial and family functioning in children with insulin-dependent diabetes at diagnosis and one year later. J Pediatr Psychol 1996, 21: 699–717.
Adili F, Larijani B, Haghighatpanah M. Diabetic patients: Psychological aspects. Ann N Y Acad Sci 2006, 1084: 329–49.
Naar-King S, Idalski A, Ellis D, et al. Gender differences in adherence and metbolic control in urban youth with poorly controlled type 1 diabetes: the mediating role of mental health symptoms. Journal of Pediatric Psychology 2006, 31: 793–802.
Greydanus DE, Hofmann AD. Psychological factors in diabetes mellitus. A review of the literature with emphasis on adolescence. Am J Dis Child 1979, 133: 1061–6.
Lernmark B, Persson B, Fisher L, Rydelius PA. Symptoms of depression are important to psychological adaptation and metabolic control in children with diabetes mellitus. Diabet Med 1999, 16: 14–22.
Rewers A, Chase HP, Mackenzie T, et al. Predictors of acute complications in children with type 1 diabetes. JAMA 2002, 287: 2511–8.
Cohen DM, Lumley MA, Naar-King S, Partridge T, Cakan N. Child behavior problems and family functioning as predictors of adherence and glycemic control in economically disadvantaged children with type 1 diabetes: a prospective study. J Pediatr Psychol 2004, 29: 171–84.
Beardsley G, Goldstein MG. Psychological factors affecting physical condition. Endocrine disease literature review. Psychosomatics 1993, 34: 12–9.
Anderson BJ, Vangsness L, Connell A, Butler D, Goebel-Fabbri A, Laffel LM. Family conflict, adherence, and glycaemic control in youth with short duration type 1 diabetes. Diabet Med 2002, 19: 635–42.
Farrell SP, Hains AA, Davies WH, Smith P, Parton E. The impact of cognitive distortions, stress, and adherence on metabolic control in youths with type 1 diabetes. J Adolesc Health 2004, 34: 461–7.
Lernmark B, Dahlqvist G, Fransson P, et al. Relations between age, metabolic control, disease adjustment and psychological aspects in insulin-dependent diabetes mellitus. Acta Paediatr 1996, 85: 818–24.
Goldston DB, Kelley AE, Reboussin DM, et al. Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents. J Am Acad Child Adolesc Psychiatry 1997, 36: 1528–36.
Jacobson AM, Hauser ST, Willett JB, et al. Psychological adjustment to IDDM: 10-year follow-up of an onset cohort of child and adolescent patients. Diabetes Care 1997, 20: 811–8.
Achenbach TM. Manual for the Child Behavior Checklist 14–18 and 1991 Profile. VT. Burlington: University of Vermont Department of Psychiatry 1991.
Erol N, Akın M, Aslan L. Çocuk Davranısş Değerlendirme Ölçeğinin Uyarlanması ve standardizasyon çalışması. V. Ulusal Çocuk ve Ergen Psikiyatri Kongresi.30 Nisan-3 Mayıs, A. Ü. Tıp Fakültesi. Çocuk Psikiyatrisi, Ankara 1995, in Turkish.
Sperling MA. Diabetes mellitus. In: Sperling MA ed. Pediatric endocrinology. Second Edition. Pennsylvania, USA Elsevier Science. 2002, 323–66.
Eiber R, Berlin I, Grimaldi A, Bisserbe JC. Diabète insulino-dépendant et pathologie psychiatrique: Revue générale clinique et épidémiologique. Encephale 1997, 23: 351–7.
Weglage J, Grenzebach M, Pietsch M, et al. Behavioural and emotional problems in earlytreated adolescents with phenylketonuria in comparison with diabetic patients and healthy controls. J Inherit Metab Dis 2000, 23: 487–96.
Wysocki T, Huxtable K, Linscheid TR, Wayne W. Adjustment to diabetes mellitus in preschoolers and their mothers. Diabetes Care 1989, 12: 524–9.
Grey M, Cameron ME, Thurber FW. Coping and adaptation in children with diabetes. Nurs Res 1991, 40: 144–9.
Käär ML, Akerblom HK, Huttunen NP, Knip M, Säkkinen K. Metabolic control in children and adolescents with insulin-dependent diabetes mellitus. Acta Paediatr Scand 1984, 73: 102–8.
Kovacs M, Mukerji P, Iyengar S, Drash A. Psychiatric disorder and metabolic control among youths with IDDM. Diabetes Care 1996, 19: 318–23.
Katon WJ. Clinical and health services relationships between major depression, depressive symptoms, and general medical illness. Biol Psychiatry 2003, 54: 216–26.
Kuttner MJ, Delamater AM, Santiago JV. Learned helplessness in diabetic youths. J Pediatr Psychol 1990, 15: 581–94.
Garrison MM, Katon WJ, Richardson LP. The impact of psychiatric comorbidities on readmissions for diabetes in youth. Diabetes Care 2005, 28: 2150–4.
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Akbaş, S., Karabekiroğlu, K., Ŏzgen, T. et al. Association between emotional and behavioral problems and metabolic control in children and adolescents with Type 1 diabetes. J Endocrinol Invest 32, 325–329 (2009). https://doi.org/10.1007/BF03345721
- emotional and behavioral problems
- metabolic control
- Type 1 diabetes